@layout("/backend/common/_container.html"){
<div class="dhcc-form">

    <form method='post' id="sdsPrimaryHeaderInfoForm" name="sdsSPrimaryHeaderInfoForm" enctype="multipart/form-data">

        <#Hidden id="id" value=""/>
        <#Hidden id="entityId" value=""/>
        <#Input id="entityDesc" name="病种" value="" readonly="true"/>
        <#Input id="title" name="表头名称"/>
        <#Input id="colspan" name="占列数"/>
        <#Input id="sort" name="排序"/>
        <#Radio id="btIsActive" name="有效标志" code="status" value="1"/>
        <div class="toolbar">
            <#Button name="保存" id="ensure" icon="icon-w-save" clickFun="SdsPrimaryHeaderInfoDlg.addSubmit()"/>
            <#Button btnCss="l-bt-red" name="关闭" id="cancel" icon="icon-w-close" clickFun="SdsPrimaryHeaderInfoDlg.close()"/>
        </div>

    </form>
</div>
<script src="${ctxPath}/static/backend/sds/sdsindconfig/sdsindconfig_primary_info.js"></script>
@}
